Total Paid
$23.2M
$23,204,443
Total Claims
640K
Beneficiaries
595K
1.1 claims/patient
Avg Cost/Claim
$36
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 35% of total spending.
$8.2M
93K claims
$88.52
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$8.2M
93K claims · 35.3%
$3.0M
50K claims
$59.47
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$3.0M
50K claims · 12.8%
$1.7M
9,521 claims
$180.01
$169.17
Respiratory virus detection, 12-25 targets, nucleic acid
$1.7M
9,521 claims · 7.4%
$1.1M
17K claims
$61.38
$75.18
Preventive medicine, established patient, age 1-4
$1.1M
17K claims · 4.6%
$1.0M
17K claims
$61.87
$69.35
Preventive medicine, established patient, infant (under 1)
$1.0M
17K claims · 4.5%
$786K
13K claims
$59.19
$74.82
Preventive medicine, established patient, age 5-11
$786K
13K claims · 3.4%
$736K
18K claims
$40.66
$39.70
COVID-19 SARS-CoV-2 amplified probe detection
$736K
18K claims · 3.2%
Influenza virus detection, rapid test
$544K
28K claims · 2.3%
$470K
7,828 claims
$60.10
$80.15
Preventive medicine, established patient, age 12-17
$470K
7,828 claims · 2.0%
$416K
9,488 claims · 1.8%
$395K
16K claims
$24.21
$30.53
SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read
$395K
16K claims · 1.7%
$389K
4,238 claims
$91.91
$97.61
Respiratory virus detection, 6-11 targets, nucleic acid
$389K
4,238 claims · 1.7%
$349K
28K claims
$12.29
$11.48
Streptococcus, Group A, rapid antigen detection
$349K
28K claims · 1.5%
$315K
7,225 claims
$43.55
$65.64
Influenza virus detection, reverse transcription, amplified probe
$315K
7,225 claims · 1.4%
$271K
11K claims · 1.2%
$266K
15K claims · 1.1%
$243K
3,198 claims
$75.94
$62.48
Initial hospital or birthing center care, newborn, per day
$243K
3,198 claims · 1.0%
DTaP-HepB-IPV vaccine
$209K
11K claims · 0.9%
$201K
3,416 claims
$58.85
$37.22
Hospital discharge day management, 30 minutes or less
$201K
3,416 claims · 0.9%
$180K
3,046 claims
$59.05
$17.85
Immunization administration, first vaccine/toxoid, with counseling
$180K
3,046 claims · 0.8%
$148K
7,578 claims · 0.6%
$117K
6,365 claims
$18.45
$7.18
Influenza virus vaccine, quadrivalent, preservative-free, IM
$117K
6,365 claims · 0.5%
$116K
31K claims · 0.5%
$116K
6,222 claims · 0.5%
$113K
5,545 claims · 0.5%
$111K
11K claims
$10.10
$9.10
Developmental screening, per standardized instrument
$111K
11K claims · 0.5%
$107K
3,194 claims · 0.5%
MMR vaccine
$105K
5,408 claims · 0.5%
$99K
23K claims
$4.37
$6.61
Screening audiometry, pure tone, air only
$99K
23K claims · 0.4%
$90K
3,136 claims · 0.4%
$89K
654 claims · 0.4%
$88K
1,662 claims
$53.07
$6.93
Immunization admin, additional vaccine, counseling
$88K
1,662 claims · 0.4%
$80K
5,071 claims
$15.80
$18.12
Topical application of fluoride varnish
$80K
5,071 claims · 0.3%
HPV vaccine, 9-valent
$77K
3,490 claims · 0.3%
$73K
610 claims · 0.3%
$73K
3,328 claims · 0.3%
$67K
7,588 claims
$8.89
$4.71
Complete blood count (CBC) with differential, automated
$67K
7,588 claims · 0.3%
$62K
2,854 claims · 0.3%
$61K
4,457 claims · 0.3%
$55K
15K claims
$3.75
$3.67
Brief emotional/behavioral assessment, per standardized instrument
$55K
15K claims · 0.2%
$40K
4,468 claims
$9.06
$9.56
Therapeutic injection, subcutaneous/intramuscular
$40K
4,468 claims · 0.2%
$37K
1,405 claims
$26.19
$12.63
Pure tone audiometry, air only, each ear
$37K
1,405 claims · 0.2%
$34K
625 claims
$54.63
$38.79
Infectious agent detection, amplified probe, multiple organisms
$34K
625 claims · 0.1%
DTaP-IPV vaccine
$29K
1,563 claims · 0.1%
$28K
232 claims
$122.76
$74.09
Office/outpatient visit, high complexity
$28K
232 claims · 0.1%
$28K
1,504 claims · 0.1%
$26K
309 claims
$83.92
$57.85
Office/outpatient visit, new patient, low-mod complexity
$26K
309 claims · 0.1%
$26K
1,471 claims · 0.1%
$24K
218 claims
$112.12
$84.03
Office/outpatient visit, new patient, mod-high complexity
$24K
218 claims · 0.1%
Tdap vaccine
$23K
1,252 claims · 0.1%
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Community/Behavioral Health
$2.25B
Alabama Department of Senior Services
Home Health
$631.6M
Alabama Department of Mental Health and Mental Retardation
Community/Behavioral Health
$559.5M
State of Alabama Department of Public Health
Clinical Medical Laboratory
$373.6M
Laboratory Corporation of America Holdings
Clinical Medical Laboratory
$289.1M
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